Tracy Bosanko, PMHNP
Registered Nurse, Psych/Mental Health, Adult in Livonia, MI. Individual provider (NPI-1).
NPI number1184445264
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1184445264
- Entity type
- Individual (NPI-1)
- Name
- Tracy Bosanko
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2024
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 4704329968 | MI | Yes |
Other names
- Tracy Schleif (Former Name)
Practice location
17177 N Laurel Park Dr Ste 131Livonia, MI 48152-3952
Phone 734-462-3210 · Fax 734-462-1024
Mailing address
5842 Hathaway RdCanton, MI 48187-5609
Phone 734-536-3043
Other practice locations
5842 Hathaway Rd
Canton, MI 48187-5609
Canton, MI 48187-5609
Phone 734-536-3043
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